Wednesday, May 20, 2020

An Exploration of British Injustice in Shooting an...

. By the type of language and the choice of words that the author used to write his essay, it is very likely that it was written for the British people, to make them aware of the injustice and cruelty of Imperialism in the colonies. The author’s aim is to make the reader feel disturbed and uneasy by describing in detail his negative experiences in India. This rhetorical analysis explores the success of the author in portraying the negative impact that Imperialism had on those being governed under it, but also on the impact on those in power. The way Orwell used the words for describing the scene of shooting the elephant, his aim was to get the reader’s mind to understand the injustice of Britain’s rule over the natives. While Shooting an†¦show more content†¦With the use of the words ‘white man’ and ‘tyrant,’ it is obvious Orwell was referring to one of the sides of Imperialism, the side that has the power. They are becoming t he puppets of the natives: â€Å"A sahib has got to act like a sahib† (Orwell, 410). With the use of this phrase Orwell uses the word â€Å"sahib† as a symbol of tyrant or master. This phrase shows not only how the people oppressed by the Imperialism suffer, but the tyrant itself by giving up his freedom. Through the way Orwell arrange this paragraph the audience can now truly understand Orwell’s argument about how Imperialism has negative effects on those in the power, and how ironically it is for Orwell to gain power and dominance over others, just to lose freedom and dominance over yourself. Through the essay, with the use of particular emotional words and sentences, the audience can perceive Orwell’s feelings and emotions, by the memorable amount of pathos over his essay. Orwell goes on describing the cruel reality the Burmese people lived in by describing, with the use of dramatic and lively words, the terrible situations, and consequences of Imperialism. Giving more reasons for his logos, Orwell at the same time uses pathos to emotionally involve

Monday, May 18, 2020

My Father And Brother Choose The Monastery Of Gadong

During the 20th century, Tashi Tsering, Palden Gyatso, and Phutsok are Tibetans males who acquired a different education with differing ambitions. Palden Gyatso, Tashi Tsering, and Phutsok all had different levels of ambition that was influenced and challenged by parental authority figures. Palden Gyatso’s strive for education could be described as moderate because while he wanted to become a monk, he did not bother to figure out how one becomes a monk. Gyatso claims that he was â€Å"reluctant to raise the subject with my father in case he thought I was just unhappy at home†. While he would like an education, he would not strive for it if it disrupted the Tibetan family dynamics. When Gyatso’s father does bring up the topic of getting a†¦show more content†¦Tashi had already discussed the possibility of getting a secular education with his parents, but they did not allow him to leave. This is unusual considering that Tashi’s father was one of three literate men in their town. Tashi’s father may have been influenced by the other Tibetan’s idea of education. Tibetans did not be lieve in the importance of education because they were not convinced that education was a means of raising one’s social or economic position. Tibetan society determined a person’s rank in life and Tibetans were not willing to leave their places in their traditional way of life. While Tashi’s mother and father were not willing to give Tashi an education, his aunt does teach him the alphabet. On the other hand, Phutsok’s ambition for education was not hindered by his parental figures at all. Phutsok’s parents encouraged him to obtain an education by sending him to the monk with his uncle. However, the level of importance Phutsok placed in terms of education is questionable when considering that the death of his uncle meant that he left the monastery. If Phutsok truly wanted to further his education, he would have tried different means in order to be allowed to stay at the monastery. Overall, both Phutsok and Palden Gyatso strive for religious educati ons, while Tashi Tsering is only offered a secular education. The fact that Phutsok and Palden

Wednesday, May 6, 2020

The Case Of Morse Et Al V. Frederick - 909 Words

Morse et al. v. Frederick The case of Morse et al. v. Frederick was argued by the Supreme Court in 2007. This was a First Amendment case, centered on the basic right of freedom of speech as defined in the Constitution of the United States. The facts that contributed to the issue took place during a High School assembly event. A group of students had displayed a banner that read â€Å"BONG HiTS 4 JESUS.† The High School Principal (Morse) saw this as an illegal drug reference, and was responsible for eliminating such references as outlined in the school’s policy. That being taken into consideration, Principal Morse promptly demanded the students to take down banner, upon which one student who brought the banner (Frederick) refused. Principal Morse confiscated the banner and additionally suspended Frederick from school. The school superintendent and the school board both supported the suspension by Principal Morse, under the premise that Frederick was suspended for viola tion of school policy which occurred when the words that were displayed on his banner supported illegal drug use. Frederick filed a lawsuit claiming that his First Amendment rights had been violated by not only Principal Morse, but also by the school board who had upheld his suspension. The Federal District Court heard the case and ordered a Summary Judgement, in favor of Morse et al. The Summary Judgement explained that Morse et al. were entitled to qualified immunity in their capacity as principal and schoolShow MoreRelatedFirst Amendment and Free Speech Essay1544 Words   |  7 Pagesfree speech based on three different Supreme Court cases and how there are varying examples of free speech. In the case of Snyder v. Phelps, Snyder sued Phelps, the Westboro Baptist Church, for intentional infliction of emotional distress, invasion of privacy by intrusion upon seclusion, and conspiracy because the church set-up protest outside of his military son’s funeral service (Chen et a l., 2010). Another side of free speech involves a case which allow schools to restrict speech that is promotingRead MoreFreedom Of Speech By The Bill Of Rights Essay1340 Words   |  6 Pagesspeech allows citizens to express themselves through various way as in, burning flags, burning crosses, wearing armbands and other symbolic expressions without the need of speaking. The Supreme Court Case, Tinker v. Des Moines Independent Community School Dist. was considered a symbolic speech case. Three fellow students, who were, Mary Beth, John Tinker (who was her brother), and another anonyms student in Des Moines, Iowa were suspended from school. They were suspended for wearing black armbandRead MoreEssay on Reflection on the First Amendment1362 Words   |  6 Pagesto the states for ratification on September 25, 1789 and adopted on December 15, 1791. This was a guarantee of the essential rights and liberties that were omitted in the original documents. A series of cases will be presented in this paper to provide a clear idea of the First Amendment. Cases that have cause an impact in society and have changed or modify a law. The five right listed under the First Amendment are: Freedom of religion; â€Å"Congress shall not make no law respecting an establishmentRead MoreShould Students Who Engage in Cyberbullying, Even Off Campus Face Sanctions at School?991 Words   |  4 Pagescyberbullying, only 11% of parents reported that their child had been a victim and less than 1% a cyberbully. Parents need to provide an environment where their children feel free to talk openly about their experiences online according to (Cassidy et al., 2011; Zhou et al., 2013) School Psychology International http://spi.sagepub.com.v. Parents can help by asking if the school has an anti-bullying/cyberbullying program. This will give parents of a cyber-victim or the perpetrator an avenue of approach toRead MoreCyberbullying : Cyberbullying And Cyberbullying3166 Words   |  13 Pagesculture or in decisions for disciplinary action surrounding events of cyberbullying. This paper will provide a definition for cyberbullying, pr ovide an overview of the differences between traditional bullying and cyberbullying, provide a background in case law that makes disciplining cyberbullies difficult, and review key pieces of Rapides Parish Student Handbook in accordance with state guidelines and district policy for cyberbullying. Definitions used in policy development for cyberbullying shouldRead MoreAn Assessment of Employee Motivation as One of the Factors Affecting Employee Job Performance a Case for Sameer Africa Limited, Nyeri Branch7794 Words   |  32 Pages   AN ASSESSMENT OF EMPLOYEE MOTIVATION AS ONE OF THE FACTORS AFFECTING EMPLOYEE  Ã‚   JOB PERFORMANCE A CASE FOR SAMEER AFRICA LIMITED, NYERI BRANCH       1.0 CHAPTER ONE    1.2 Introduction   The issue of employee motivation is extremely important to management .It is one of the most puzzling issues in management. There are plenty of employees that just ‘punch the clock’ i.e.   They go to work just for the sake of paycheck and nothing else. They have no self pride in their work and do the bareRead MoreUnethical Behaviour12228 Words   |  49 PagesMilgram, 1974; Zimbardo, 1969, 2006, 2007). However more recently, scholars have presented conceptual frameworks that include a confluence of the three from a process perspective (Padilla, Hogan, Kaiser, 2007; Popper, 2001). For example, Padilla et al. (2007) proposed a theoretical model entitled â€Å"the toxic triangle† to describe destructive leadership. The toxic triangle is comprised of the three domains of destructive leaders, susceptible followers, and conducive environments. Each of these threeRead MoreFundamentals of Hrm263904 Words   |  1056 PagesEmployee Benefits 286 Ensuring a Safe and Healthy Work Environment 312 PART 6 Chapter 14 LABOR–MANAGEMENT ENVIRONMENTS Understanding Labor Relations and Collective Bargaining 340 Endnotes 367 Glossary 389 Company Index 395 Subject Index 398 v Contents PART 1 UNDERSTANDING HRM Chapter 1 The Dynamic Environment of HRM 2 Learning Outcomes 2 Introduction 4 5 Understanding Cultural Environments 4 The Changing World of Technology What Is a Knowledge Worker? 6 How Technology Affects HRM PracticesRead MoreLibrary Management204752 Words   |  820 Pages This book was not written in a vacuum, nor is it intended for use in one. In-basket exercises, case studies, action mazes, and other simulation techniques can complement, supplement, and magnify the principles discussed. Case studies can be helpful. Anderson’s1 volume, although somewhat dated, was specifically developed as a companion piece for earlier editions of this text. The most applicable cases from Anderson are available on the Web site for this volume. In addition, each chapter is introduced

What Broke My Fathers Heart free essay sample

What Broke My Father’s Heart by Katy Butler, published June 14, 2010 in the New York Times One October afternoon three years ago while I was visiting my parents, my mother made a request I dreaded and longed to fulfill. She had just poured me a cup of Earl Grey from her Japanese iron teapot, shaped like a little pumpkin; outside, two cardinals splashed in the birdbath in the weak Connecticut sunlight. Her white hair was gathered at the nape of her neck, and her voice was low. â€Å"Please help me get Jeff’s pacemaker turned off,† she said, using my father’s first name.I nodded, and my heart knocked. Upstairs, my 85-year-old father, Jeffrey, a retired Wesleyan University professor who suffered from dementia, lay napping in what was once their shared bedroom. Sewn into a hump of skin and muscle below his right clavicle was the pacemaker that helped his heart outlive his brain. The size of a pocket watch, it had kept his heart beating rhythmically for nearly five years. Its battery was expected to last five more. After tea, I knew, my mother would help him from his narrow bed with its mattress encased in waterproof plastic.She would take him to the toilet, change his diaper and lead him tottering to the couch, where he would sit mutely for hours, pretending to read Joyce Carol Oates, the book falling in his lap as he stared out the window. I don’t like describing what dementia did to my father — and indirectly to my mother — without telling you first that my parents loved each other, and I loved them. That my mother, Valerie, could stain a deck and sew an evening dress from a photo in Vogue and thought of my father as her best friend.That my father had never given up easily on anything. Born in South Africa, he lost his left arm in World War II, but built floor-to-ceiling bookcases for our living room; earned a Ph. D. from Oxford; coached rugby; and with my two brothers as crew, sailed his beloved Rhodes 19 on Long Island Sound. When I was a child, he woke me, chortling, with his gloss on a verse from â€Å"The Rubaiyat of Omar Khayyam†: â€Å"Awake, my little one! Before life’s liquor in its cup be dry! † At bedtime he tucked me in, quoting â€Å"Hamlet† : â€Å"May flights of angels sing thee to thy rest! Now I would look at him and think of Anton Chekhov, who died of tuberculosis in 1904. â€Å"Whenever there is someone in a family who has long been ill, and hopelessly ill,† he wrote, â€Å"there come painful moments when all timidly, secretly, at the bottom of their hearts long for his death. † A century later, my mother and I had come to long for the machine in my father’s chest to fail. Until 2001, my two brothers and I — all living in California — assumed that our parents would enjoy long, robust old ages capped by some br ief, undefined final illness.Thanks to their own healthful habits and a panoply of medical advances — vaccines, antibiotics, airport defibrillators, 911 networks and the like — they weren’t likely to die prematurely of the pneumonias, influenzas and heart attacks that decimated previous generations. They walked every day. My mother practiced yoga. My father was writing a history of his birthplace, a small South African town. In short, they were seemingly among the lucky ones for whom the American medical system, despite its fragmentation, inequity and waste, works quite well.Medicare and supplemental insurance paid for their specialists and their trusted Middletown internist, the lean, bespectacled Robert Fales, who, like them, was skeptical of medical overdoing. â€Å"I bonded with your parents, and you don’t bond with everybody,† he once told me. â€Å"It’s easier to understand someone if they just tell it like it is from their heart and their soul. † They were also stoics and religious agnostics. They signed living wills and durable power-of-attorney documents for health care. My mother, who watched friends die slowly of cancer, had an underlined copy of the Hemlock Society’s â€Å"Final Exit† in her bookcase.Even so, I watched them lose control of their lives to a set of perverse financial incentives — for cardiologists, hospitals and especially the manufacturers of advanced medical devices — skewed to promote maximum treatment. At a point hard to precisely define, they stopped being beneficiaries of the war on sudden death and became its victims. Things took their first unexpected turn on Nov. 13, 2001, when my father — then 79, pacemakerless and seemingly healthy — collapsed on my parents’ kitchen floor in Middletown, making burbling sounds. He had suffered a stroke.He came home six weeks later permanently incapable of completing a sentence. But as I’ve said, he didn’t give up easily, and he doggedly learned again how to fasten his belt; to peck out sentences on his computer; to walk alone, one foot dragging, to the university pool for water aerobics. He never again put on a shirt without help or looked at the book he had been writing. One day he haltingly told my mother, â€Å"I don’t know who I am anymore. † His stroke devastated two lives. The day before, my mother was an upper-middle-class housewife who practiced calligraphy in her spare time. Afterward, she was one of tens of millions of people in America, most of them women, who help care for an older family member. Their numbers grow each day. Thanks to advanced medical technologies, elderly people now survive repeated health crises that once killed them, and so the â€Å"oldest old† have become the nation’s most rapidly growing age group. Nearly a third of Americans over 85 have dementia (a condition whose prevalence rises in direct relationship to longevity). Half need help with at least one practical, life-sustaining activity, like getting dressed or making breakfast.Even though a capable woman was hired to give my dad showers, my 77-year-old mother found herself on duty more than 80 hours a week. Her blood pressure rose and her weight fell. On a routine visit to Dr. Fales, she burst into tears. She was put on sleeping pills and antidepressants. My father said he came to believe that she would have been better off if he had died. â€Å"She’d have weeped the weep of a widow,† he told me in his garbled, poststroke speech, on a walk we took together in the fall of 2002. â€Å"And then she would have been all right. It was hard to tell which of them was suffering more. As we shuffled through the fallen leaves that day, I thought of my father’s father, Ernest Butler. He was 79 when he died in 1965, before pacemakers, implanted cardiac defibrillators, stents and replacement heart valves routinely staved off death among the very old. After completing some long-unfinished chairs, he cleaned his woodshop, had a heart attack and died two days later in a plain hospital bed. As I held my dad’s soft, mottled hand, I vainly wished him a similar merciful death.A few days before Christmas that year, after a vigorous session of water exercises, my father developed a painful inguinal (intestinal) hernia. My mother took him to Fales, who sent them to a local surgeon, who sent them to a cardiologist for a preoperative clearance. After an electrocardiogram recorded my father’s slow heartbeat — a longstanding and symptomless condition not uncommon in the very old — the cardiologist, John Rogan, refused to clear my dad for surgery unless he received a pacemaker. Without the device, Dr. Rogan told me later, my father could have died from cardiac arrest during surgery or perhaps within a few months. It was the second time Rogan had seen my father. The first time, about a year before, he recommended the device for the same slow heartbeat. That time, my then-competent and pre-stroke father expressed extreme reluctance, on the advice of Fales, who considered it overtreatment. My father’s medical conservatism, I have since learned, is not unusual.According to an analysis by the Dartmouth Atlas medical-research group, patients are far more likely than their doctors to reject aggressive treatments when fully informed of pros, cons and alternatives — information, one study suggests, that nearly half of patients say they don’t get. And although many doctors assume that people want to extend their lives, many do not. In a 1997 study in The Journal of the American Geriatrics Society, 30 percent of seriously ill people surveyed in a hospital said they would â€Å"rather die† than live permanently in a nursing home.In a 2008 study in The Journal of the American College of Cardiology, 28 percent of patients with advanced heart failure said they would trade one day of excellent health for another two years in their current state. When Rogan suggested the pacemaker for the second time, my father was too stroke-damaged to discuss, and perhaps even to weigh, his tradeoffs. The decision fell to my mother — anxious to relieve my father’s pain, exhausted with care-giving, deferential to doctors and no expert on high-tech medicine. She said yes.One of the most important medical decisions of my father’s life was over in minutes. Dr. Fales was notified by fax. Fales loved my parents, knew their suffering close at hand, continued to oppose a pacemaker and wasn’t alarmed by death. If he had had the chance to sit down with my parents, he could have explained that the pacemaker’s battery would last 10 years and asked whether my father wanted to live to be 89 in his nearly mute and dependent state. He could have discussed the option of using a temporary external pacemaker that, I later learned, could have seen my dad safely through surgery.But my mother never consulted Fales. And so on Jan. 2, 2003, at Middlesex Hospital, the surgeon implanted my father’s pacemaker using local anesthetic. Medicare paid him $461 and the hospital a flat fee of about $12,000, of which an estimated $7,500 went to St. Jude Medical, the maker of the device. The hernia was fixed a few days later. It was a case study in what primary-care doctors have long bemoaned: that Medicare rewards doctors far better for doing procedures than for assessing whether they should be done at all. The incentives for overtreatment continue, said Dr.Ted Epperly, the board chairman of the American Academy of Family Physicians, because those who profit from them — specialists, hospitals, drug companies and the medical-device manufacturers — spend money lobbying Congress and the public to keep it that way. And so my father’s electronically managed heart — now requiring frequent monitoring, paid by Medicare — became part of the $24 billion worldwide cardiac-device industry and an indirect subsidizer of the fiscal health of American hospitals. The profit margins that manufacturers earn on cardiac devices is close to 30 percent.Cardiac procedures and diagnostics generate about 20 percent of hospital revenues and 30 percent of profits. Shortly after New Year’s 2003, my mother belatedly called and told me about the operations, which went off without a hitch. She didn’t call earlier, she said, because she didn’t want to worry me. My heart sank, but I said nothing. It is one thing to silently hope that your beloved father’s heart might fail. It is another to actively abet his death. The pacemaker bought my parents two years of limbo, two of purgatory and two of hell.At first they soldiered on, with my father no better and no worse. My mother reread Jon Kabat-Zinn’s â€Å"Full Catastrophe Living,† bought a self-help book on patience and rose each morning to meditate. In 2005, the age-related degeneration that had slowed my father’s heart attacked his eyes, lungs, bladder and bowels. Clots as narrow as a single human hair lodged in tiny blood vessels in his brain, killing clusters of neurons by depriving them of oxygen. Long partly deaf, he began losing his sight to wet macular degeneration, requiring ocular injections that cost nearly $2,000 each. A few months later, he forgot his way home from the university pool. He grew incontinent. He was collapsing physically, like an ancient, shored-up house. In the summer of 2006, he fell in the driveway and suffered a brain hemorrhage. Not long afterward, he spent a full weekend compulsively brushing and rebrushing his teeth. â€Å"The Jeff I married . . . is no longer the same person,† my mother wrote in the journal a social worker had suggested she keep. â€Å"My life is in ruins. This is horrible, and I have lasted for five years. † His pacemaker kept on ticking.When bioethicists debate life-extending technologies, the effects on people like my mother rarely enter the calculus. But a 2007 Ohio State University study of the DNA of family caregivers of people with Alzheimer’s disease showed that the ends of their chromosomes, called telomeres, had degraded enough to reflect a four-to-eight-year shortening of lifespan. By that reckoning, every year that the pacemaker gave my irreparably damaged father took from my then-vigorous mother an equal year. When my mother was upset, she meditated or cleaned house.When I was upset, I Googled. In 2006, I discovered that pacemakers could be deactivated without surgery. Nurses, doctors and even device salesmen had done so, usually at deathbeds. A white ceramic device, like a TV remote and shaped like the wands that children use to blow bubbles, could be placed around the hump on my father’s chest. Press a few buttons and the electrical pulses that ran down the leads to his heart would slow until they were no longer effective. My father’s heart, I learned, would probably not stop. It would just return to its old, slow rhythm.If he was lucky, he might suffer cardiac arrest and die within weeks, perhaps in his sleep. If he was unlucky, he might linger painfully for months while his lagging heart failed to suffuse his vital organs with sufficient oxygenated blood. If we did nothing, his pacemaker would not stop for years. Like the tireless charmed brooms in Disney’s â€Å"Fantasia,† it would prompt my father’s heart to beat after he became too demented to speak, sit up or eat. It would keep his heart pulsing after he drew his last breath. If he was buried, it would send signals to his dead heart in the coffin.If he was cremated, it would have to be cut from his chest first, to prevent it from exploding and damaging the walls or hurting an attendant. On the Internet, I discovered that the pacemaker — somewhat like the ventilator, defibrillator and feeding tube — was first an exotic, stopgap device, used to carry a handful of patients through a brief medical crisis. Then it morphed into a battery-powered, implantable and routine treatment. When the government-sponsored Medicare system approved the pacemaker for reimbursement in 1966, the market exploded.Today pacemakers are implanted annually in more than 400,000 Americans, about 80 percent of whom are over 65. According to calculations by the Dartmouth Atlas research group using Medicare data, nearly a fifth of new recipients who receive pacemakers annually — 76,000 — are over 80. The typical patient with a cardiac device today is an elderly person suffering from at least one other severe chronic illness. Over the years, as technology has improved, the battery life of these devices lengthened. The list of heart conditions for which they are recommended has grown.In 1984, the treatment guidelines from the American College of Cardiology declared that pacemakers were strongly recommended or recommended as â€Å"reasonable† for 56 heart conditions and â€Å"not recommended† for 31 more. By 2008, the list for which they were strongly or mildly recommended expanded to 88, with most of the increase in the lukewarm â€Å"reasonable† category. The research backing the expansion of diagnoses was weak. Experts are as vulnerable to conflicts of interest as researchers are, some researchers warned, because â€Å"expert clinicians are also those who are likely to receive honoraria, consulting fees or research support from industry. Not long afterward, my mother declined additional medical tests and refused to put my father on a new anti-dementia drug and a blood thinner with troublesome side effects. â€Å"I take responsibility for whatever,† she wrote in her journal that summer. â€Å"Enough of all this overkill! It’s killing me! Talk about quality of life — what about mine? † Then came the autumn day when she asked for my help, and I said yes. I told myself that we were simply trying to undo a terrible medical mistake. I reminded myself that my dad had rejected a pacemaker when his faculties were intact.I imagined, as a bioethicist had suggested, having a 15-minute conversation with my independent, pre-dementia father in which I saw him shaking his head in horror over any further extension of what was not a â€Å"life,† but a prolonged and attenuated dying. None of it helped. I knew that once he died, I would dream of him and miss his mute, loving smiles. I wanted to melt into the arms of the father I once had and ask him to handle this. Instead, I felt as if I were signing on as his executioner and that I had no choice. Over the next five months, my mother and I learned many things.We were told, by the Hemlock Society’s successor, Compassion and Choices, that as my father’s medical proxy, my mother had the legal right to ask for the withdrawal of any treatment and that the pacemaker was, in theory at least, a form of medical treatment. We learned that although my father’s living will requested no life support if he were comatose or dying, it said nothing about dementia and did not define a pacemaker as life support. We learned that if we called 911, emergency medical technicians would not honor my father’s do-not-resuscitate order unless he wore a state-issued orange hospital bracelet. We also learned that no cardiology association had given its members clear guidance on when, or whether, deactivating pacemakers was ethical. (Last month that changed. The Heart Rhythm Society and the American Heart Association issued guidelines declaring that patients or their legal surrogates have the moral and legal right to request the withdrawal of any medical treatment, including an implanted cardiac device. It said that deactivating a pacemaker was neither euthanasia nor assisted suicide, and that a doctor could not be compelled to do so in violation of his moral values.In such cases, it continued, doctors â€Å"cannot abandon the patient but should involve a colleague who is willing to carry out the procedure. † This came, of course, too late for us. ) In the spring of 2008, things got even worse. My father took to roaring like a lion at his caregivers. At home in California, I searched the Internet for a sympathetic cardiologist and a caregiver to put my Dad to bed at night. My frayed mother began to shout at him, and their nighttime scenes were heartbreaking and frightening. An Alzheimer’s Association support-group leader suggested that my brothers and I fly out together and institutionalize my father.This leader did not know my mother’s formidable will and had never heard her speak about her wedding vows or her love. Meanwhile my father drifted into what nurses call â€Å"the dwindles†: not sick enough to qualify for hospice care, but sick enough to never get better. He fell repeatedly at night and my mother could not pick him up. Finally, he was weak enough to qualify for palliative care, and a team of nurses and social workers visited the house. His chest grew wheezy. My mother did not request antibiotics. In mid-April 2008, he was taken by ambulance to Middlesex Hospital’s hospice wing, suffering from pneumonia.Pneumonia was once called â€Å"the old man’s friend† for its promise of an easy death. That’s not what I saw when I flew in. On morphine, unreachable, his eyes shut, my beloved father was breathing as hard and regularly as a machine. My mother sat holding his hand, weeping and begging for forgiveness for her impatience. She sat by him in agony. She beseeched his doctors and nurses to increase his morphine dose and to turn off the pacemaker. It was a weekend, and the doctor on call at Rogan’s cardiology practice refused authorization, saying that my father â€Å"might die immediately. † And so came five days of hard labor.My mother and I stayed by him in shifts, while his breathing became increasingly ragged and his feet slowly started to turn blue. I began drafting an appeal to the hospital ethics committee. My brothers flew in. On a Tuesday afternoon, with my mother at his side, my father stopped breathing. A hospice nurse hung a blue light on the outside of his hospital door. Inside his chest, his pacemaker was still quietly pulsing. After his memorial service in the Wesleyan University chapel, I carried a box from the crematory into the woods of an old convent where he and I often walked. It was late April, overcast and cold.By the side of a stream, I opened the box, scooped out a handful of ashes and threw them into the swirling water. There were some curious spiraled metal wires, perhaps the leads of his pacemaker, mixed with the white dust and pieces of bone. A year later, I took my mother to meet a heart surgeon in a windowless treatment room at Brigham and Women’s Hospital in Boston. She was 84, with two leaking heart valves. Her cardiologist had recommended open-heart surgery, and I was hoping to find a less invasive approach. When the surgeon asked us why we were there, my mother said, â€Å"To ask questions. She was no longer a trusting and deferential patient. Like me, she no longer saw doctors — perhaps with the exception of Fales — as healers or her fiduciaries. They were now skilled technicians with their own agendas. But I couldn’t help feeling that something precious — our old faith in a doctor’s calling, perhaps, or in a healing that is more than a financial transaction or a reflexive fixing of broken parts — had been lost. The surgeon was forthright: without open-heart surgery, there was a 50-50 chance my mother would die within two years.If she survived the operation, she would probably live to be 90. And the risks? He shrugged. Months of recovery. A 5 percent chance of stroke. Some possibility, he acknowledged at my prompting, of postoperative cognitive decline. (More than half of heart-bypass patients suffer at least a 20 percent reduction in mental function. ) My mother lifted her trouser leg to reveal an anklet of orange plastic: her do-not-resuscitate bracelet. The doctor recoiled. No, he would not operate with that bracelet in place. It would not be fair to his team.She would be revived if she collapsed. â€Å"If I have a stroke,† my mother said, nearly in tears, â€Å"I want you to let me go. † What about a minor stroke, he said — a little weakness on one side? I kept my mouth shut. I was there to get her the information she needed and to support whatever decision she made. If she emerged from surgery intellectually damaged, I would bring her to a nursing home in California and try to care for her the way she had cared for my father at such cost to her own health. The thought terrified me. The doctor sent her up a floor for an echocardiogram.A half-hour later, my mother came back to the waiting room and put on her black coat. â€Å"No,† she said brightly, with the clarity of purpose she had shown when she asked me to have the pacemaker deactivated. â€Å"I will not do it. † She spent the spring and summer arranging house repairs, thinning out my father’s bookcases and throwing out the files he collected so lovingly for the book he never finished writing. She told someone that she didn’t want to leave a mess for her kids. Her chest pain worsened, and her breathlessness grew severe. â€Å"I’m aching to garden,† she wrote in her journal. But so it goes. Last August, she had a heart attack and returned home under hospice care. One evening a month later, another heart attack. One of my brothers followed her ambulance to the hospice wing where we had sat for days by my father’s bed. The next morning, she took off her silver earrings and told the nurses she wanted to stop eating and drinking, that she wanted to die and never go home. Death came to her an hour later, while my brother was on the phone to me in California — almost as mercifully as it had come to my paternal grandfather.She was continent and lucid to her end. A week later, at the same crematory near Long Island Sound, my brothers and I watched through a plate-glass window as a cardboard box containing her body, dressed in a scarlet silk ao dai she had sewn herself, slid into the flames. The next day, the undertaker delivered a plastic box to the house where, for 45 of their 61 years together, my parents had loved and looked after each other, humanly and imperfectly. There were no bits of metal mixed with the fine white powder and the small pieces of her bones.

Music and Its Impact on People of Different Ages free essay sample

Chital Campbell October 3, 2011 Over the period of years music has changed drastically. Music has become a major factor in peoples lives of all ages. Music is becoming a mixed variety of different cultures. For example more African-American cultures are beginning to like more of the Pop music instead of Just and Rap. The impact of music does not impact Just certain ages but it impacts all ages. The reason for that is music give a broader Impact on what is being played.Also, children from the ages of one and up are mostly listening to the same music as their parents. Finally, the Impact of music gives people of all ages to dress a certain way. To begin with, music gives a broader impact on what is being played. Music today opens up a wide variety of sounds. Many people do not listen to the lyrics, but they listen to the beats that are being played. We will write a custom essay sample on Music and Its Impact on People of Different Ages or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page The beats of music are far more important than the lyrics because rappers and singers are finding ways to make money off of them. The beats of music are the money maker and It impacts music a whole lot.Also, aspiring rappers and singers are even trying to create their own music on these different beats so they could be recognized. Music producers and artist know what is going to sell to the audience. The variety of sounds that are put out their gives a broader impact of what is heard in music. Next, children from the ages of one and up are mostly listening to the same music as their parents. When It comes to music most children can tell what the name of a song is and what the words are within the song. Children are impacted by music because most parents are not letting them listen to any other music besides Rap andR. For example, a child can sings Nick Minas song or Ill Wayne song but cant sing their Abss. In my opinion these artist may need to come up with their own version of the BBC song and children will be willing and eager to learn. Music does Impact learning for children because they really do not want to listen to anything else but Rap, Pop, and R. It is sad that it has come to this but parents need to look more into their childrens education instead of letting them listen to cursing and other subjective things in music. Finally, the impact of music gives people of all ages to dress a certain way.In the allow the styles they see of different music artist. For example, the skinny Jeans and tight t-shirt look. Many rap artists are into the skinny Jeans and tight t-shirts and as I can see so are the ones who are not celebrities. The styles of all music artists change up in many different ways. People of all ages are trying to keep up with them. There are cheap ways to keep up with the look but it can get expensive. People have to the right to dress anyway they want but at the same time they are copying their favorite rapper or singer. To summarize, music does have an impact on people of all different ages.Music has changed over the years and now it has become more aware for the younger generation. Music gives a broader impact on what is being played. The beats of music are the money maker and they have a bigger impact than the lyrics. Children from ages one and up are mostly listening to the same music as their parents. Children can sing songs for different artists but they cannot sing their Abss. The impact of music gives people of all ages to dress a certain way. The skinny Jeans and tight t-shirt look is a trend that everyone is following because they see on their favorite rapper or singer.