Paul Reinken

Paramedic in Indianapolis. Social Commentator.

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Stress: A look at the relationship between stress, job types, and decision fatigue

Overview of Determinants

Social determinants are often used to examine the causes of mental or physical health problems.  Determinants can be considered as factors or influences, medical or non-medical, upon the health of an individual or group. By examining local or downstream determinants that have a more direct impact and association with the individual or group, links and causes can be traced to more general or cultural factors, called upstream determinants, with wider-ranging effects and implications.  The relationships between such factors, local and general, can be complex (Braveman et al, 2011).  This paper attempts to explore the complicated inter-relationships of stress and its determinants and poses further questions considering implications of upstream determinants.

The Stress Problem

The American Psychological Association releases studies yearly monitoring the levels of
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On Birth Weights - Dr Mac

– OB RESIDENT, DR HANNA MACINTOSH

Was I too simply too tired to notice? It was easy for us to overlook the larger babies at first. The first cases we studied were a mix of anecdotal information gleaned from overworked urban centers & data gathered from an overall uneducated population with questionable accuracy for dates and medical history. I mean, when you ask a patient, When was your last menstrual cycle? & they reply with, Is that when I bleed?, it is difficult to determine a common baseline from which to base abnormalities.

When I ask myself, was I too tired? Was I too jaded by their overwhelming lack of concern for their own health paired with their overwhelming sense of entitlement that the poor had begun to show? Was I worn down by a system that promoted the poor to procreate with abandon & to proliferate in squalor? The answer is yes.

Fifteen babies were born into my...

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Death & Disquiet

The nights hadn’t been plagued as much of late by the dreams, always these pervasive dreams, that seemed to drown out all reason, all warmth. Dreams where a darkened stairway leads down through large automatic doors into a large room, one hundred feet wide and twice as long. Long metal tables with dull gleams stretch out, evenly spaced across the smooth cement floor and old, industrial lamps dangle with their sulfuric yellow lights barely penetrating the surrounding dark. Each light illuminates a body on each table. At first they all seem to be the same, but eventually it becomes clear that each body is a different young woman with different hair and different closed eyes and different silent shapes and tones. In a corner, some people who resembles nurses and doctors surround a body, applying shock pads, administering IVs, worrying, chewing their nails and looking at their white...

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