External conflicts within the doctor’s mental state change a lot as the story develops. In the beginning, the doctor acts as other doctors often do to take trial shot for the throat check. He professionally explains to the family why their daughter has a high fever and patiently coaxes the girl to open the mouth. As the girl refuses to open her mouth and what her parents act, the doctor gets more furious and uses force to restrain her. For example, he starts to order her father to “Put her in front of you on your lap, and hold both her wrists”, and uses a heavy silver spoon back of her teeth even though “the child's mouth was already bleeding. Her tongue was cut and she was screaming in wild hysterical shrieks”. In addition, the doctor stars
But she kept screaming and the more the prisoners heard her screams, the more they got crazy. And so they tried to gag
“There was a hiss as her tongue lolled out. It was pasty and white, covered in film and
Healthcare environments are often plagued with dysfunctional behaviors that create antisocial, self-defeating behaviors (Porter-O’Grady & Malloch, 2014). Traditionally, healthcare providers were males that dominated the profession which created a sense of personal entitlement and resistance to change (Porter-O’Grady & Malloch, 2014). With the advent of the Affordable Care Act (ACA), healthcare is in the midst of a paradigm shift that embraces change, efficiency and collaboration, a foreign concept to some traditional providers. Traditionally, prior to the implementation of the ACA, physicians felt empowered and in control (Porter-O’Grady & Malloch, 2014). Under the ACA, healthcare organizations fervently transformed their facilities to accommodate the mandates of the ACA, such as CPOE. With this loss of control, physicians are angry and passively transfer that anger to the supportive nursing staff. Because hospital leadership traditionally did not challenge the physician behavior, this anti-social behavior is tolerated. Consequently, nurses develop fear, distrust and discouragement, which compromises the collaboration that is necessary to produce quality patient outcomes. Porter-O’Grady and Malloch (2014) outline ten principles to minimize this type of organizational toxicity that manipulates progress and collaboration. These principles are tools that work to transform the dysfunctional, toxic environment into a healthier,
It was a pleasure to attack her” (3-4). Williams compares the forceful throat inspection to having “torn the child apart” while the physician enjoys it. He also states it to be a pleasurable
The most important reason for the justification of the doctor’s use of force is that he has the permission and cooperation of the girl’s parents. It is possible that the girl simply didn’t understand that the doctor was trying to help her. And at that young of an age a child’s parents have authority over matters like this. The mother has her doubts
Throughout the story you find yourself experiencing the thoughts and feelings of the doctor. The writer describes the characters and the environment as the doctor is seeing them. You get a clear understanding of the emotions the doctor is going through as he struggles to examine the child. Upon arriving he is cautious as he senses the fear and tension from the parents. He feigns annoyance at the way the mother speaks about him to the child and he grows increasingly angry and frustrated as the young girl fights and resists the examination he knows he must
The doctor felt compassion and a desire to treat her. From the beginning of chapter 33, the doctor had some troubles in getting the patient to open the mouth and get some medications. However, with his knowledge in the field and compassion of treating the patient, he was real compelled and used force to attend on the patient. The story impacted me in an emotional kind of way because the reader doesn’t know how much pain the little girl is enduring. It had an impact on me because I know when I was around her age and when I felt like I was in a threatening situation I would try my hardest to get away from it or rebel against it. If you interpret the way doctors were, in the time the novel was written, it is completely different with how they are today. Doctors education and medicine have changed drastically, and so have the measures and procedures they took back then to today. If you compared the way doctor Olsen treated his patients to how doctors treat their patients now a days, they treat patients with more ease and patience. In the novel you can understand that doctor Olsen wanted to help treat the girl but he was letting his impatience over rule the compassion he had for helping
He first tries to be accommodating by asking the girl for her name in order to get her to cooperate in opening her mouth, but she does not budge. The doctor assures Mathilda that he has nothing in his hands and that she should open up. “Such a nice man, put in the mother. Look how kind he is to you. Come on, do what he tells you to. He won’t hurt you.” The mother’s helpfulness in assuring the girl that the doctor is trying to help enrages the doctor; as he puts it, “At that I ground my teeth in disgust.” The doctor then shows frustration, “If only they wouldn’t sue use the word ‘Hurt’ I might be able to get somewhere.” (par. 16) Despite this he continues to get his diagnosis. As the doctor reaches again for the girl, she swipes his glasses and the parents light up in embarrassment. They apologize and chastise the girl and assures assure her that he is a nice man. The doctor lashes out to the parents, “For heaven’s sake, I broke in. Don’t call me a nice man to her.” (par. 19) He states to the parents that he is strictly there to check her throat to see if she has diphtheria and that she could die from it. It is apparent at this point that the doctor may not care what the parents and child think of him, just as long as he checks the girls (should it be girl's? I didn't correct you, because I'm not actually sure which is right)
From the story, William depicts the difficulties that people have towards separating their emotions and standards. The doctor’s behavior towards the girl and the young patient’s reaction emphasizes the subject of this discussion. However, the use of ethos, the narrator portrays his character as a credible doctor in the story. The character of both the patient and the doctor reveal a plausible issue comparable in real life. During this period there is and epidemic of diphtheria, which worsens the situation forcing the doctor to take aggressive measures in treating his patient. Revealed through his words, the doctor first tries kindness; “Awe, come on, I coaxed, just open your mouth wide and let me take a look.” (Williams, 1984) However, the reaction from the girl is repulsive, forcing the doctor to be firm. The young girl’s character shows the conflict of her role as a patient and that of her personality. This is revealed by the fact the she is spoiled and
The point of view in the story “The Use of Force” is in first person narrative. This conveys inner the inner thoughts of the narrator as the doctor. The doctor is a reliable narrator and an observer. I feel that his personality is brought out in the doctor. So the doctors thoughts and behaviors are a reflection of the authors.
The doctor and his patient portray a troubled encounter that is subject to discussion. This short story reflects real or plausible issues comparable in real life. One example of such an event in Brooklyn when a construction worker filed a lawsuit against a hospital for subjecting him to a rectal exam against his wishes. According to his lawyer, the man begged,”please don’t do that’’ as he was held down, and he punched one of the doctors before being sedated and examined without consent. As a result the man allegedly developed post-traumatic stress disorder as a result of the experience.(Tsai,1) Given to the poor man’s circumstance and how the medical professionals treated him, you can now see how unfit doctors can be to their own patients.
In this case study, there are two problems which caused confusion between the mother of a young boy who was sick and the Doctor. These include language barrier and understanding field expressions (the mother of the sick child did not understand the meaning of the expressions used in the health field). For example, when the doctor stated that, “we’ll try something a little different”, he was not telling her to stop giving the sick child the medication which was recommended for him. Thus, this caused miscommunication between them.
The turning point of the story is when the doctor started to act mean towards the little girl, and thinking to himself how he enjoyed it. The little girl knocking his glasses off and trying to claw at his eyes was probably the final straw for him. All he was trying to do was help her, and all she was doing was making it even more difficult. In my opinion I believe she was the reason he began to enjoy acting mean towards her, so his thoughts could have been and probably were a normal thought of someone who was trying to do their job, and just got stuck with a difficult patient.
Today’s world is made up of an image of doctors who are supposed to help you in every way possible to treat whatever the problem is that you have. As a reader the things that the doctor says gives an uncomfortable feeling. For example, while the doctor is trying to perform on the child he says “You’re old enough to understand what I’m saying. Will you open it now by yourself or shall we have to open it up for you?”. As the reader, this is the first thing that would make for an uncomfortable feeling. Although her projected illness could be one that is life threatening, she still is a child and saying things like “or shall we have to open it for you” just totally ignores that, and other techniques can be taken to get her to coo operate. He goes on to say, “After all, I had already fallen in love with the savage brat”. Such words are making the reader look at him in a truly uncomfortable way because now he is not even looking at her as a child anymore in her mind she is a savage brat. The meaning of a savage is to be fierce, violent and uncontrolled. The meaning of a brat is a spoiled, annoying, and
Imagine a small, dull colored room where the windows are closed off and inside lies a single medical bed with pointy silver objects surrounding it. The coldness of the room gives you chills but not because of the temperature. Even more chilling are the internal struggles a woman will have to fight through. Does she want to do this? No, she just feels like it is her only choice. She reluctantly enters the room where she will experience a moment that she will never be able to erase from her mind. For the rest of her life, she will be left wondering if she made the right choice. The doctor disrupts her internal questioning with a casual greeting. He does not smile when he introduces himself and she is glad about this because how twisted it would be to show any sign of joy in a place such as this. She